| context_window_json |
[{"id": 14864, "message_id": " [{"id": 14864, "message_id": "4A349931585F5CA71C97", "sender": "user", "message_type": "text", "content": "Type de traitement : Traitement orthodontique global par appareillage fixe multi-attaches bimaxillaire (approche sans extractions privilégiée).\r\n\r\nObjectifs et Étapes Thérapeutiques :\r\n\r\nAlignement et Nivellement : Pose de l'appareillage fixe bimaxillaire pour la correction des axes dentaires et la gestion de la proalvéolie.\r\n\r\nCorrection du Décalage Sagittal (Classe II) : Réduction du surplomb antérieur (Overjet) et recul du secteur incisif supérieur pour protéger le parodonte et prévenir les traumatismes incisifs. Coordination des arcades (nécessitant potentiellement le recours à des élastiques intermaxillaires ou une mécanique de recul).\r\n\r\nFinition et Occlusion : Établissement d'une occlusion fonctionnelle stable (objectif de Classe I canine) et optimisation de l'esthétique du sourire (réduction de l'exposition gingivo-incisive).\r\n\r\nContention : Dépose de l'appareillage actif et mise en place d'un système de contention (arcs collés et/ou gouttières thermoformées) au maxillaire et à la mandibule afin de garantir la pérennité du traitement et d'éviter les récidives.", "created_at": "2026-04-13T13:39:20.184787", "media_url": null, "media_mime_type": null}, {"id": 14878, "message_id": "4A11C6C140E18AF1BA16", "sender": "user", "message_type": "text", "content": "Objet : Note justificative concernant la dent pilier 22 (Dossier N° 134914528)\nÀ l'attention du Médecin Contrôleur,\nDans le cadre du dossier de remboursement pour la prothèse fixe (bridge de 11 à 22) de la patiente JEMOUD FATIMA EZZAHRA, je vous apporte les précisions cliniques suivantes concernant l'absence de traitement endodontique sur la dent 22 :\n• Préservation de la vitalité : La dent 22 est une dent saine et vitale. Compte tenu du jeune âge de la patiente et de son excellente hygiène bucco-dentaire, j’ai opté pour une approche conservatrice afin de préserver la vitalité pulpaire.\n\n• État clinique : La taille a été réalisée sous irrigation abondante avec une protection dentinaire immédiate, ne présentant aucune symptomatologie post-opératoire.\n\nJe reste à votre disposition pour tout complément d'information.", "created_at": "2026-04-13T13:58:03.211674", "media_url": null, "media_mime_type": null}, {"id": 16867, "message_id": "4AA28D49AF78ECF6A8C3", "sender": "user", "message_type": "image", "content": "[Image analysis] Image description: ```json\n{\n \"visible_domain\": \"document\",\n \"image_quality\": {\n \"score\": \"good\",\n \"issues\": []\n },\n \"description\": \"The image shows a printed or digital analysis sheet titled 'WebCeph Analysis.' The document summarizes cephalometric results in a tabular format, which includes parameters under three main headings: Skeletal, Dental, and Soft-tissue. Each row lists a parameter, its Mean, S.D. (standard deviation), Result, Severity, a polygonal chart visual summary, and a column titled 'Meaning' interpreted in color-coded text (red for abnormal findings and green for normal findings). The table is detailed, spanning about 30+ parameters. No patient-identifiable information or dates are visible. The readings are numeric, with graphical and interpretive elements.\",\n \"dental_observations\": {\n \"applicable\": false,\n \"teeth_present\": \"unclear\",\n \"teeth_condition\": [],\n \"gum_condition\": \"\",\n \"bone_level\": null,\n \"root_canals\": null,\n \"restorations_visible\": [],\n \"missing_teeth\": \"\",\n \"alignment\": \"\",\n \"calculus_plaque\": \"\",\n \"periapical_areas\": \"\",\n \"other_findings\": \"\"\n },\n \"text_visible\": [\n \"WebCeph Analysis\",\n \"SKELETAL\",\n \"SNA\", \"SNB\", \"ANB\n\nUser message context: ```json\n{\n \"visible_domain\": \"document\",\n \"image_quality\": {\n \"score\": \"good\",\n \"issues\": []\n },\n \"description\": \"This is a digital document labeled 'WebCeph Analysis' presenting orthodontic/cephalometric measurements and results. The document contains a table organized by categories: Skeletal, Dental, and Soft-tissue parameters. Columns show Mean, S.D. (standard deviation), Result, Severity, Polygonal chart (with a visual red line graph per parameter), and Meaning (interpretation). Data entries are color-coded: abnormal findings in red, normal values in green. The chart visualizes deviations from norms, highlighting certain values outside the normal range. No identifiable patient data is visible. The report appears to be a cephalometric analysis summary typically used for orthodontic case evaluation.\",\n \"dental_observations\": {\n \"applicable\": false,\n \"teeth_present\": \"unclear\",\n \"teeth_condition\": [],\n \"gum_condition\": \"\",\n \"bone_level\": null,\n \"root_canals\": null,\n \"restorations_visible\": [],\n \"missing_teeth\": \"\",\n \"alignment\": \"\",\n \"calculus_plaque\": \"\",\n \"periapical_areas\": \"\",\n \"other_findings\": \"\"\n },\n \"text_visible\": [\n \"WebCeph Analysis\",\n \"SKELETAL\",\n \"SNA\",\n \"SN", "created_at": "2026-04-16T15:49:37.011950", "media_url": "/api/v1/chatbots/46/knowledge-bases/media/files/4513/download", "media_mime_type": "image/jpeg"}, {"id": 16868, "message_id": "3A02206FC8D323AF90BD", "sender": "user", "message_type": "image", "content": "```json\n{\n \"visible_domain\": \"dental_xray\",\n \"image_quality\": {\n \"score\": \"good\",\n \"issues\": []\n },\n \"description\": \"The image is a lateral cephalometric tracing labeled as 'WebCeph Analysis.' It contains a lateral skull profile (blue tracing of hard and soft tissue), multiple superimposed angular and linear measurements in red and green, and a corresponding list of cephalometric parameters on the left. The craniofacial skeleton, maxilla, mandible, teeth positions, and some soft tissue contours are traced. Multiple reference lines and measured angles are drawn between cranial, dental, and soft tissue landmarks. No dental caries, restorations, or gross anatomical abnormalities are visible, as this is a tracing and not an actual X-ray image. Several specific measurement values are shown on the tracing (e.g., 113.6°, 79.4°, 160.8, etc.), corresponding to the parameters on the left.\",\n \"dental_observations\": {\n \"applicable\": true,\n \"teeth_present\": \"unclear\",\n \"teeth_condition\": [\n {\n \"location\": \"unclear\",\n \"observation\": \"Individual teeth are not specifically traced or labeled; only incisor positions related to cephalometric reference lines are inferred.\",\n \"severity_signal\": \"unclear\"\n }\n ],\n \"gum_condition\": \"Not visible", "created_at": "2026-04-16T15:49:48.315189", "media_url": "/api/v1/chatbots/46/knowledge-bases/media/files/4514/download", "media_mime_type": "image/png"}, {"id": 16878, "message_id": "bot_3A02206FC8D323AF90BD_191", "sender": "bot", "message_type": "text", "content": "Je comprends, vous souhaitez faire suivre tous ces documents et analyses à la personne avec qui vous aviez échangé lors de votre dernier contact. Votre demande, ainsi que les justificatifs et images envoyés, ont bien été transmis à notre équipe. Ils vont vous recontacter très bientôt إن شاء الله 🙏🏻", "created_at": "2026-04-16T15:50:23.223261", "media_url": null, "media_mime_type": null}, {"id": 19732, "message_id": "3A2EF72BA6540D6D92AC", "sender": "user", "message_type": "text", "content": "Chaimae 9ol eura dental yejiw yechofo l’aspiration", "created_at": "2026-04-27T11:00:08.419095", "media_url": null, "media_mime_type": null}, {"id": 19734, "message_id": "A558B8C7FA088ED6F7B6E5AE06CEF86B", "sender": "bot", "message_type": "text", "content": "Ok", "created_at": "2026-04-27T11:00:15.093330", "media_url": null, "media_mime_type": null}, {"id": 19739, "message_id": "A50090CC1F68676774336C6C14D99900", "sender": "bot", "message_type": "text", "content": "9alt hdar siyed m3a tbib", "created_at": "2026-04-27T11:01:34.935993", "media_url": null, "media_mime_type": null}, {"id": 19740, "message_id": "A573818585EECDD794C09EE1841539F7", "sender": "bot", "message_type": "text", "content": "9alo moxkil kayn f Tiyo", "created_at": "2026-04-27T11:01:44.619351", "media_url": null, "media_mime_type": null}, {"id": 19741, "message_id": "A5ACAD406DEDBEF23663C8B4A11F0CCF", "sender": "bot", "message_type": "text", "content": "Maxi f l'aspiration", "created_at": "2026-04-27T11:01:56.320576", "media_url": null, "media_mime_type": null}, {"id": 26065, "message_id": "3A76EB55E8E8EA4273CA", "sender": "user", "message_type": "voice", "content": "[Voice message] شيماء، ديك فاطمة الزهراء الحريشة ولا ما نعرف، المهم ديك البزولة ديالنا الخرانية، ديك الساعات أكد عليها، قول لها ما تشربش بروفين (Brufen)، قول لها عندك تشربو، قول لها نتينا حاملة ما يصلحلكش، حيت قالت عندها ف الدار، قول لها ما تشربوشي، تشرب الدوا اللي عطاك الطبيب ف لوردونونس (l'ordonnance). أكد عليها وصافي، أنا ديجا (déjà) قلتها ليها.", "created_at": "2026-05-08T19:09:41.830938", "media_url": "/api/v1/chatbots/46/knowledge-bases/media/files/7592/download", "media_mime_type": "audio/ogg; codecs=opus"}, {"id": 26069, "message_id": "bot_3A76EB55E8E8EA4273CA_8471", "sender": "bot", "message_type": "text", "content": "فهمتكوم، الرسالة ديالك وصلت وغادي نبلغ الفريق باش يتواصلوا مع شيماء ويأكدوا لفاطمة الزهراء ما تشربش Brufen، وتاخد غير الدوا اللي عطاها الطبيب فالأوردونونس. شكرا بزاف على التنبيه، الفريق غادي يتكلف بالأمر إن شاء الله 🙏🏻", "created_at": "2026-05-08T19:10:13.771095", "media_url": null, "media_mime_type": null}]... |